[Psychosocial counseling of skin cancer patients in these times of diagnosis related groups (DRG)].

Patients with skin cancer suffer from very specific distress. Highly distressed patients need an unburdening support, enabling them to develop an active- cognitive coping style. In the past, an approach to psycho-oncological intervention which proved beneficial offered basic support to all patients and additional help to overburdened patients and their relatives. The introduction of the diagnosis related groups (DRG)-a system of all inclusive compensation-has endangered this approach because psychosocial care is not sufficient recognized and reimbursed for by DRG. Within the framework of already implemented structural alterations and focal shifts of content, different approaches to future psycho-oncological care for patients with skin cancer will be presented.